Revenue Cycle Medical Records Case Manager

Job Responsibilities:

• Successfully obtain necessary medical documentation by collaborating with and serving as a primary liaison between in-house billing operations, customer experience groups and clinic medical records departments.
• Have a thorough understanding and knowledge of applicable CMS, state, and insurer medical policy and coverage guidelines (in particular LCD & NCD Coverage Criteria).
• Ability to navigate and extract data from multiple versions of electronic medical records, including EPIC.

Qualifications:

• At least 3 years of relevant experience, including but not limited to: health care administration, case management, nursing, oncology/transplant clinic, medical billing/coding, appeals and denials management and/or insurance collections.
• Bachelor's Degree (BS, LPN, RN, BSN, BSHA) Healthcare related field of study or equivalent experience.
• Knowledge of medical billing systems, medical terminology and abbreviations, basic procedure coding knowledge and health care nomenclature and systems.

What We Offer:

• Competitive benefits including comprehensive medical, dental, vision, life and disability plans.
• Free testing for employees and their immediate families, fertility care benefits, pregnancy and baby bonding leave.
• 401k benefits, commuter benefits, and a generous employee referral program.